The Effects of Transnasal Wiring on the Congenital Telecanthus associated with Blepharophimosis, Blepharoptosis and Epicanthus Inversus

ABSTRACT

Telecanthus is abnormal widening between the medial canthi. There are two kinds of telecanthus which are congenital and acquired. Many authors have described and reported about the surgical procedures and their results of telecanthus. We have had 5 cases of surgical experiences for correction of congenital telecanthus by means of transnasal wiring from 1983 to 1986. After surgery, we obtained good cosmetic results without significant complications. The mean postoperative decrease of intermedial canthal distance at 3 months after surgery was 7.2mm (from 38.2mm to 31mm). Transnasal wiring for telecanthus was combined with Y-V plasty for epicanthus inversus after lateral canthoplasty for blepharophimosis. Blepharoptosis was corrected by frontalis sling. More details about surgical procedures and results are described.